SearchGeorgia367H00000X

Mark Fouts

NPI 1992257943 · on the registry since 2016 · sole proprietor

Practice

Address
1621 N Roberts Rd Nw Ste 110
Kennesaw, GA 30144
Phone
(770) 702-1806
Organisation at this address
Mak Anesthesia, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
367H00000X
367H00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia